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. SENDER: Complete items 1, 2, 3 antl 4. <br />Pur your address in the "RETURN TO" space on the'' <br />reverse side. Failure to tlo th,s will prevent this card Irom <br />being returnatl to you. The return receipt fee w,ll prpv,d¢ <br />you the name of the person tlelwerrW to and the date of <br />Delivery. For etltlitiOnel teas the IOIIOwing serv,ces arc <br />available. Conwlt postmaster for lees end check bo.laal_ <br />rpr servicelsl reouastetl. <br />1. ~ Show to whom, tlete antl atltlre5s of delivery. <br />Z. ^ Restricted Delivery. <br />J. Article Atldressed to: <br />bri G <br />1 <br />I I5 <br />.~-ovl <br />1 <br />~ <br />IPd . <br />/ <br />~ <br />~j <br />ri <br />~ <br />~-J <br />~ ~ ~ <br />~uta us/ tEJO'n I l~ . 7S~ ~ y V <br />4. Typ¢ of Service: Article Number <br />^ Registered ^ Insured <br />fi <br />^ p~ ,a~~s~v~ <br />Certi <br />ed <br />COD <br />Express Mall <br />Always obtain signature of adtlressee Qagent and <br />DATE DELIVERED. <br />5. Signature - Atldressse <br /> <br />6. Sign re - Agan{ ~` <br />" <br />/ <br />( <br />x [ <br />]. ate of /DyeliGvery p <br />~~O O ~O ~J~ ~~/ <br />e. Addtess¢: s Addreu (ONLY ijrelluate a « <br />v <br />N <br />T <br />0 <br />3 <br />J <br />c <br />to <br />m <br />tJ <br />O <br />m <br />N <br />H <br />x <br />C <br />x <br />z <br />s <br />R <br />S <br />P 6' 675 948 <br />~/ <br />RECEIPT FOR CERTIFIED MAIL <br />ANCE COVERAGE PROVIDED <br />I (n NOT F INTERNATIONAL MAIL <br />~/~_IC3 eeReverse/ W <br />a <br />ti <br />t7 <br />tii <br />m <br />m <br />sent to a rjon 5 ~ynC. <br />rt Fre,l <br />Street and No. ~+ t L~ <br />r i~./ ~d <br />. ., Slat and ZIP Code Soc~ N D <br />Postage <br />c s <br />CBrtI !~ <br />Special Dellv e <br />Restrlctetl Delivery Fee <br />etg[gJjflQel <br />R <br />lh <br />1 <br />o <br />t <br />Mw'ltff~~iitt((~J <br />Retum receipt 'ng to w <br />Dale, and Atltlr $ t De <br />TOTAL Postage .F~@9~rS <br />' S <br />Postmark or Dete (1 S <br /> Q7 i <br /> <br /> (aJ <br /> d <br />IL <br />Q <br />E <br />LL <br />N <br />a <br />V 1 <br /> <br /> <br /> <br />